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Isolated splenic metastasis from colorectal carcinoma

Report of a case and review of the literature

  • Case Reports
  • Published:
Diseases of the Colon & Rectum

Abstract

In general, surgical resection for metastatic colorectal adenocarcinoma rarely benefits more than a small percentage of patients long term. In the case of isolated splenic metastasis without evidence of other metastatic disease, splenectomy may increase survival times in patients with previously resected colorectal adenocarcinoma. Currently there are only five case reports involving isolated splenic metastases in the English-language literature. This article presents a sixth case and a review of the previous five cases in the literature, with a discussion on the possible diagnostic and therapeutic approaches to these rare but important cases and the apparently significant survival advantage of early diagnosis and treatment.

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Authors and Affiliations

  1. From the Department of Surgery, Walter Reed Army Medical, Center, Washington, D.C.

    B. Kent Weathers M.D. (Capt., U.S.A.)

  2. Department of Surgery, Womack Army Medical Center, Fort Bragg, North Carolina

    Victor L. Modesto M.D. (Lt. Col., U.S.A.)

  3. Department of Radiology, Womack Army Medical Center, Fort Bragg, North Carolina

    Daniel Gordon M.D. (Maj., U.S.A.)

Authors
  1. B. Kent Weathers M.D.
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  2. Victor L. Modesto M.D.
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  3. Daniel Gordon M.D.
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Additional information

The views expressed in this article are those of the authors and do not reflect the official policy or position of the Department of the Army, Department of Defense, or the United States Government.

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Weathers, B.K., Modesto, V.L. & Gordon, D. Isolated splenic metastasis from colorectal carcinoma. Dis Colon Rectum 42, 1345–1348 (1999). https://doi.org/10.1007/BF02234228

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  • DOI: https://doi.org/10.1007/BF02234228

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